Evidence map›Paper›PMID 22070877›Full record

ArticleThe Journal of emergency medicine2012

Understanding of sepsis among emergency medical services: a survey study.

Christopher W Seymour, David Carlbom, Ruth A Engelberg, Jonathan Larsen, Eileen M Bulger, Michael K Copass, Thomas D Rea

Abstract read
In one paragraph

Article in The Journal of emergency medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  14. [The golden hour of sepsis: initial therapy should start in the prehospital setting].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014
    Review
  15. Severe sepsis in pre-hospital emergency care: analysis of incidence, care, and outcome.American journal of respiratory and critical care medicine · 2012
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Christopher W SeymourDivision of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, Washington 98107, USA.
David Carlbom
Ruth A Engelberg
Jonathan Larsen
Eileen M Bulger
Michael K Copass
Thomas D Rea
University of Washington · USHarborview Medical Center · USMedic One Foundation · USPublic Health – Seattle & King County · US

Funding

Institute for Translational Health Science (KL2)KL2RR025015 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$9.3M
NCRR NIH HHS KL2 RR025015
6 · The paper itself

Abstract

backgroundEmergency medical services (EMS) personnel commonly encounter sepsis, yet little is known about their understanding of sepsis. STUDY

objectivesTo determine the awareness, knowledge, current practice, and attitudes about sepsis among EMS personnel.

methodsWe performed an anonymous, multi-agency, online survey of emergency medical technicians (EMTs), firefighter-emergency medical technicians (FF-EMTs), and paramedics in a metropolitan, 2-tier EMS system. We compared responses according to the level of EMS training and used multivariable logistic regression to determine the odds of correctly identifying the definition of sepsis, independent of demographic and professional factors.

resultsOverall response rate of study participants was 57% (786/1390), and was greatest among EMTs (79%; 276/350). A total of 761 respondents (97%) had heard of the term "sepsis." EMTs and FF-EMTs were at significantly reduced odds of correctly defining sepsis compared to paramedics, independent of age, sex, and years of experience (EMTs: odds ratio 0.44, 95% confidence interval 0.3-0.8; FF-EMTs: odds ratio 0.32, 95% confidence interval 0.2-0.6. Overall, knowledge of the clinical signs and symptoms and recommended treatments for sepsis was typically>75%, though better among paramedics than EMTs or FF-EMTs (p<0.01). The majority of respondents believed sepsis is not recognized by EMS "some" or "a lot" of the time (76%, 596/786).

conclusionsEMS personnel demonstrated an overall sound awareness of sepsis. Knowledge of sepsis was less among FF-EMTs and EMTs compared to paramedics. These results suggest that paramedics could be integrated into strategies of early identification and treatment of sepsis, and EMTs may benefit from focused education and training.

Indexed as

Allied Health PersonnelFirefightersHealth Knowledge, Attitudes, PracticeSepsisAdultFemaleHumansMaleMiddle AgedMultivariate AnalysisSurveys and QuestionnairesUnited States

Identifiers

PMID22070877
PMCPMC3288490
OpenAlexW2077522502

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.